LM potency

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sinead humphries
Posts: 1
Joined: Tue Aug 26, 2008 10:00 pm

Re: LM potency

Post by sinead humphries »

Hi all
I just joined the group!
Im a classical homeopath practising in Melbourne
Im currently doing some research on LM potencies and the varied uses around the world
Can anyone share with me if they use LM and if so what method do they use
Cheers Sinead


Sheri Nakken
Posts: 3999
Joined: Wed Apr 01, 2020 10:00 pm

Re: LM potency

Post by Sheri Nakken »

Welcome

Here is some info from David Little.......David Little says............
" It is very difficult to learn how to use the LM
potency properly just by reading the 6th Organon.
There was supposed to be a living lineage of
teachers that could clarify the points and add
oral teachings that are not contained in the 6th
edition. Hahnemann was teaching Boenninghausen
about the LM method when he died. Melaine
Hahnemann asked Boenninghausen not to speak about
the new methods in pubic until after she
published the 6th Organon. Unfortunately, this
task was not accomplished before the Baron and
Melaine passed away. By the time the 6th edition
was published in 1920 all those with personal
knowledge of the LM potency had died. This makes
it extremely difficult to put the entire LM
method into perspective without studying the
Paris casebooks, the testimony of those with
inside information, and the eyewitness accounts
of those who witnessed Hahnemann's practice between1838 to 1843."
Dr. Luc de Schepper also teaches a lot on this.

I will include at the end how I work with LM's
based on Hahnemann, David Little & Luc de Schepper

Lesson 26, Part 6 - Aphorisms 246, 247 and 248 of the 6th Organon.
(Aphorisms quoted at the end)

Dear students and colleagues,

The ghost of the mechanism continues to appear in the minds of some
persons. There are still too many persons that teach one can give the LM
potency daily for months in a mechanical fashion to every patient no matter
what the reaction the remedy produces. I have responded to this myth in
another medium so I thought I would share the post here. I bet some of you
are tried of hearing this from me! Nevertheless, there may be some parties
that have not read these details before. The following document is based on
Hahnemann's teachings contained in aphorism 246, 247 and 248 as translated
by W. Beoricke..

Aphorism 246

"Every perceptible progressive and strikingly increasing amelioration
during treatment is a condition which, as long as it lasts, completely
precludes every repetition of the administration of any medicine
whatsoever, because all the good the medicine taken continues to effect is
now hastening towards its completion."

1. Hahnemann clearly says that when there is a "perceptibly progressive
and strikingly increasing amelioration" is a condition that "COMPLETELY
PRECLUDES" any "REPETITION" of the remedy whatsoever. This is because the
good effect of the remedy is now "hastening" towards its completion.
Although single dose and infrequent dose cures are not the majority of
chronic cases but they do take place in a significant minority. This is
more often in very sensitive patients, in functional diseases and in the
early states of pathology. There are occasions, however, where advanced
pathological states of several years duration is cured by single doses or
infrequent repetitions of the LM potency. Under these condition the
repetition of the remedy is counter indicated because the remedy is already
heading for cure very quickly and the repetition of the remedy under these
conditions runs the risk of slowing down the cure and causing aggravations
and antagonistic counter actions of the vital force. When their is a
dramatically increasing amelioration it is always best to leave well enough
alone!

"This is not infrequently the case in acute diseases, but in more
chronic diseases, on the other hand, a single dose of an appropriately
selected Homoeopathic remedy will at times complete even with but slowly
progressive improvement and give the help which such a remedy in such a
case can accomplish naturally within 40, 50, 60, 100 days."

2. Single dose cures are often the case in acute diseases but in chronic
diseases a single dose usually only produces a "slowly progressive
improvement" that will accomplish what it can naturally within 40, 50, 60,
100 days. This is, however, but rarely the case; and besides, it must be a
matter of great importance to the physician as well as to the patient that
were it possible, this period should be diminished to one-half,
one-quarter, and even still less, so that a much more rapid cure might be
obtained."

There is a great difference between a "strikingly increasing
amelioration" and a "slowly progressive improvement". Hahnemann makes it
clear that "anytime" during treatment there is a strikingly increasing
amelioration. the remedy should be stopped as long as this lasts. This case
be caused by a single dose, short series of split-doses or after the remedy
has been repeated for some time. Hahnemann then takes up the discussion of
cases in which a single dose can only cause a "slowly progressive
improvement" that may take up to 100 days to show any significant
improvement. Under these conditions the remedy should be repeated at
suitable intervals to speed the cure to 1/2, 1/4 or less the time it would
take with the exclusive single dose wait and watch method. When using the
4th Organon dry dose method the remedy can not be repeat until the duration
of the remedy ceases and the patient relapses.

4. Now Hahnemann offers five conditions that must be met to speed the
cure of slowly progressing cases.

a. The remedy must be "perfectly homeopathic".
b. It must be highly potentized.
c. It must be dissolved in water.
d. It must be given in a proper small dose.
e. It must be repeated in definite intervals that experience has taught the
most suitable.

If the remedy is NOT perfectly homeopathic one best not repeat it. How
can you tell if the remedy is perfectly homeopathic if you don't carefully
test it at the start of treatment. The Paris casebooks show that it was
Hahnemann practice to give either a single dose (usually by olfaction) or
short series of 3 to 7 doses over a period of a week and had the patient
come back in 7 days. He never sent anyone off for 1 month at the start of a
case with a preconceived remedy schedule. He always checked his remedy very
carefully at the start of treatment to make sure it was not the wrong
remedy or a partial simillimum. Everything that Hahnemann says in aphorism
247 and 248 about speeding the cure is conditioned by his statements in
aphorism 246.

Aphorism 247

Aphorism 247 explains why one needs to use the medicinal solution that
is succussed prior to administration and given it in split-doses. He gives
the reasons why it is difficult to speed the cure with the unmodified dry
dose or unadjusted liquid dose. Then Hahnemann says:

"But if the succeeding dose is changed slightly every time, namely
potentized somewhat higher (pp. 269-270) then the vital principle may be
altered without difficulty by the same medicine (the sensation of natural
disease diminishing) and thus the cure brought nearer".

Aphorism 248

Aphorism 248 continues the theme that started in aphorism 246 where
Hahnemann taught when the single dose wait and watch method is appropriate
(in perceptively progressive and strikingly increasing ameliorations) and
where one should repeat the remedy at suitable intervals (case where a
single dose can only cause slowly progressive improvement). Aphorism 248
follows on the discussion of the five conditions for speeding the cure and
the need to adjust each dose so that patient never receives the exact same
potency twice in succession.

"For this purpose, we potentize anew the medicinal solution (with
perhaps 8, 10, 12 succussions) from which we give the patient one or
(increasingly) several teaspoonful doses, in long lasting diseases daily or
every second day, in acute diseases every two to six hours and in very
urgent cases every hour or oftener.

The "purpose" Hahnemann is speaking about how to adjust the potency
when repeating the remedy to speed the cure of cases that would only slowly
improve on a single dose or infrequent repetitions. This includes BOTH
acute and chronic diseases. For this purpose we potentize anew the
medicinal solution prior to the administration of each dose so that patient
never receives the exact same potency twice in succession. Then Hahnemann
offers a method for treating for long lasting protracted diseases where a
single dose can only produces a slow progressive improvement over 30 to 100
days at best and even this is rarely the case. it is more common for the
patient to relapse calling for repeated doses. Aphorism 248 teaches how to
speed the cure of resistant cases to 1/2, 1/4 or less the time it takes
with the exclusive single dose wait and watch method.

In protracted cases, the remedy may be repeated daily or on alternated
days if necessary as long as there are no aggravations or new symptoms. It
must also be noted that in sentence 1 of aphorism 246 Hahnemann says every
strikingly increasing amelioration "during treatment" is a state that
"precludes" the repetition of the remedy as long as it lasts. This means
that anytime during a series of split-doses there appears a dramatic
increasing amelioration the remedy should be stopped as long as this state
lasts. If one stops the remedy under these three conditions (aggravation,
new symptoms, dramatic increasing amelioration) over medication can be
avoided while the cure greatly speeded.

Hahnemann noted in aphorism 246 that acute diseases are often cured by
a single dose. When he speaks about giving the acute remedy every 6 hours
or less it means in resistant acute disorders that can not be cured by a
single dose. The same conditions apply. There is no need to repeat the dose
when there is a strikingly increasing amelioration in acute diseases any
more than in a chronic diseases. All the conditions discussed in the
aphorism 246 condition all the statement that follow in aphorism 248. If
one ignores the first sentence of aphorism 246 they leave out 1/2 of
Hahnemann's case management strategies that deals with strikingly
increasing ameliorations.

In the footnote to aphorism 246 Hahnemann says one can give the remedy
daily "WHEN NECESSARY". This same when necessary applies to the statements
on the daily dose in aphorism 248! It is amazing some persons can
completely ignore or change the meaning of everything Hahnemann says in
aphorism 246 and its footnote. Then they say Hahnemann only taught that one
should give everyone the remedy daily or on alternate days in chronic
diseases and every 6 hours or less in acute diseases no matter what. This
type selective amnesia takes a few words out of context with the rest of
the text and ignores hundreds of words that explain Hahnemann's complete
posology and case management strategy in detail. To say Hahnemann said
always give the daily dose for months and forget the "when necessary" a
grand misnomer that puts the patient in danger.

It is very difficult to learn how to use the LM potency properly just
by reading the 6th Organon. There was supposed to be a living lineage of
teachers that could clarify the points and add oral teachings that are not
contained in the 6th edition. Hahnemann was teaching Boenninghausen about
the LM method when he died. Melaine Hahnemann asked Boenninghausen not to
speak about the new methods in pubic until after she published the 6th
Organon. Unfortunately, this task was not accomplished before the Baron and
Melaine passed away. By the time the 6th edition was published in 1920 all
those with personal knowledge of the LM potency had died. This makes it
extremely difficult to put the entire LM method into perspective without
studying the Paris casebooks, the testimony of those with inside
information, and the eyewitness accounts of those who witnessed Hahnemann's
practice between1838 to 1843.

Hahnemann shared LM cases with Beonninghausen as he hoped the Baron
would someday pass on his teachings on the new method. These cases showed
how Hahnemann actually gave the LM potency in the clinic. This information
was complemented by the eyewitness account of Dr. Croserio, who worked
closely with Hahnemann in his last years. Dr. Croserio's letter to
Beonninghausen IHahnemann's Doses of Medicine, Lesser Writing,
Boenninghausen) shows that the Founder often gave single doses (usually by
olfaction) followed by at least one week of placebos while he waited and
watched. The Paris casebooks confirm that Hahnemann used this method quite
often in the 1840s. This proves that Hahnemann did NOT always give the
daily and alternate day dose to every patient. He often used single doses
usually by olfaction but not always.

Dr. Croserio's letter clearly points out that; "Even in acute diseases
it was a rare case to see him [Hahnemann] allow the patient to take more
than one spoonful in 24 hours". Dr.Croserio's eyewitness account proves
that Hahnemann did not always use the daily or alternate day dose or give
acute remedies every 6 hours or less. The rapid repetition of the remedy
was specific for the treatment of resistant acute and chronic disorders. In
aphorism 246 Hahnemann clearly states that acute diseases often are cured
by single doses in a striking manner! If one gives the remedy every 6 hours
in a mechanical fashion i n these cases the outcome would be aggravations,
accessory symptoms and antagonistic counter actions of the vital force.

Dr. Croserio also noted that anytime during treatment Hahnemann
observed strong medicinal actions he would reduce the dose or stop the
doses and give placebos while he waited and watched. This method has also
been confirmed by a study of the Paris casebooks. Hahnemann did not speak
about how much placebo he was using in the 1840s in the 6th Organon. That
would have alerted the general public to the fact that he was using almost
as much milk sugar in water as active medicine. The Founder rarely gave the
daily or alternate days dose for very long without placing the patient on
placebos for one or more weeks. I have not see one case in the entire Paris
casebooks where Hahnemann gave the daily or alternated day dose from months
on end without stopping the medicine and given 1, 2 even 3 weeks of
placebo. Hahnemann constantly used this "On again - off again" method
throughout his treatment. The idea that Hahnemann always gave the daily
dose or alternate day dose for months is a complete complete myth.

I have not written this discourse with the idea of proving a point to a
single party. I have written this post for the benefit of the Homoeopathic
community at large and for the good of their patients. The first
Hippocratic maxim is "Do no harm". Homeopathy is a very safe system when
one follows the basic checks and balances introduced by Samuel Hahnemann.
The biggest danger inherent in homeopathy is from over medication with
potentized remedies. This can cause remedy induced symptoms, medical
diseases, and antagonistic counter actions of the vital force. These
conditions can become very serious if the over medication is excessive.
None of this has to happen if one follows all the principles elucidated in
aphorism 246, 247 and 248 in a careful manner. If one just takes one or two
words out of context and ignores the rest they take the law in to their own
hands and are personally responsible for any suffering they cause.

Simila Minimus
Sincerely, David Little
---------------
"It is the life-force which cures diseases because a dead man needs no more
medicines."

Samuel Hahnemann

Visit our website on Hahnemannian Homoeopathy and Cyberspace Homoeopathic
Academy at
http://www.simillimum.com
David Little © 2000

************
Aphorisms Below
http://homeoint.org/books/hahorgan/organ240.htm#P246E5
§ 246 Fifth Edition

On the other hand, the slowly progressive
amelioration consequent on a very minute dose,
whose selection has been accurately homoeopathic,
when it has met with no hindrance to the duration
of its action, sometimes accomplishes all the
good the remedy in question is capable from its
nature of performing in a given case, in periods
of forty, fifty or a hundred days. This is,
however, but rarely the case; and besides, it
must be a matter of great importance to the
physician as well as to the patient that were it
possible, this period should be diminished to
one-half, one-quarter, and even still less, so
that a much more rapid cure might be obtained.
And this may be very happily affected, as recent
and oft-repeated observations have shown, under
three conditions: firstly, if the medicine
selected with the utmost care was perfectly
homoeopathic; secondly, if it was given in the
minutest dose, so as to produce the least
possible excitation of the vital force, and yet
sufficient to effect the necessary change in it;
and thirdly, if this minutest yet powerful dose
of the best selected medicine be repeated at
suitable intervals,1 which experience shall have
pronounced to be the best adapted for
accelerating the cure to the utmost extent, yet
without the vital force, which it is sought to
influence to the production of a similar
medicinal disease, being able to feel itself
excited and roused to adverse reactions.

1 In the former editions of the Organon I have
advised that a single dose of a well-selected
homoeopathic medicine should always be allowed
first fully to expend its action before a new
medicine is given or the same one repeated - a
doctrine which was the result of the positive
experience that neither by a larger dose of the
remedy, which may have been well chosen (as has
been again recently proposed, but which would be
very like a retrograde movement), nor, what
amounts to the same thing, by several doses of it
given in quick succession, can the greatest
possible good be effected in the treatment of
diseases, more especially of chronic ones; and
the reason of this is, that by such a procedure
the vital force dose not quietly adapt itself to
the transition from the natural disease to the
similar medicinal disease, but is usually so
violently excited and disturbed by a larger dose,
or by smaller doses of even a homoeopathically
chosen remedy given rapidly one after the other,
that in most cases its reaction will be anything
but salutary and will do more harm than good. As
long as no more efficacious mode of proceeding
than that then taught by me was discovered, the
safe philanthropic maxim of sin non juvat, modo
ne noceat, rendered it imperative for the
homoeopathic practitioner, for whom the weal of
his fellow-creatures was the highest object, to
allow, as a general rule in diseases, but a
single dose at a time, and that the very
smallest, of the carefully selected remedy to act
upon the patient and, moreover, to exhaust its
action. The very smallest, I repeat, for it holds
good and will continue to hold good as a
homoeopathic therapeutic maxim not to be refuted
by any experience in the world, that the best
doses of the properly selected remedy is always
the very smallest on in one of the high potencies
(X), as well for chronic as for acute as for
acute diseases - a truth that is the inestimable
property of pure homoeopathy and which as long as
allopathy and the new mongrel sect, whose
treatment is a mixture of allopathic and
homoeopathic processes is not much better
continues to gnaw like a cancer at the life of
sick human beings, and to ruin them by large and
ever larger doses of drugs, will keep pure
homoeopathy separated from these spurious arts as by an impassable gulf.

On the other hand, however, practice shows us
that though a single one of these small doses may
suffice to accomplish almost all that it was
possible for this medicine to do under the
circumstances, in some, and especially in slight
cases of disease, particularly in those of young
children and very delicate and excitable adults,
yet that in many, indeed in most cases, not only
of very chronic diseases that have already made
great progress and have frequently been
aggravated by a previous employment of
inappropriate medicines, but also of serious
acute diseases, one such smallest dose of
medicine in our highly potentized dynamization is
evidently insufficient to effect all the curative
action that might be expected from that medicine,
for it may unquestionably be requisite to
administer several of them, in order that the
vital force may be pathogenetically altered by
them to such a degree and its salutary reaction
stimulated to such a height, as to enable it to
completely extinguish, by its reaction, the whole
of that portion of the original disease that it
lay in the power of the well-selected
homoeopathic remedy to eradicate; the best chosen
medicine in such a small dose, given but once,
might certainly be of some service, but would not be nearly sufficient.

But the careful homoeopathic physician would not
venture soon to repeat the same dose of the same
remedy again, as from such a practice he has
frequently experienced no advantage, but most
frequently, on close observation, decided
disadvantage. He generally witnessed aggravation,
from even the smallest dose of the most suitable
remedy, which he has given one day, when he repeated the next day and the next.

Now, in cases where he was convinced of the
correctness of his choice of the homoeopathic
medicine, in order to obtain more benefit for the
patient than he was able to get hitherto from
prescribing a single small dose, the idea often
naturally struck him to increase the dose, since,
for the reason given above, one single dose only
should be given; an, for instance, in place of
giving a single very minute globule moistened
with the medicine in the highest dynamization, to
administer six, seven or eight of them at once,
and even a half or a whole drop. But the result
was almost always less favourable than it should
have been; it was often actually unfavourable,
often even very bad - an injury that, in a
patient so treated, is difficult to repair.

The difficulty in this case is not solved by
giving, instead, lower dynamizations of the remedy in a large dose.

Thus, increasing the strength of the single doses
of the homoeopathic medicine with the view of
effecting the degree of pathogenic excitation of
the vital force necessary to produce satisfactory
salutary reaction, fails altogether, as
experience teaches, to accomplish the desired
object. This vital force is thereby too violent
and too suddenly assailed and excited to allow it
time to exercise a gradual equable, salutary
reaction, to adapt itself to the modification
effected in it; hence it strives to repel, as if
it were an enemy, the medicine attacking it in
excessive force, by means of vomiting, diarrhoea,
fever, perspiration, and so forth, and thus in a
great measure it diverts and renders nugatory the
aim of the incautious physician - little or no
good towards curing the disease will be thereby
accomplished; on the contrary, the patient will
be thereby perceptibly weakened and, for a long
time, the administration of even the smallest
dose of the same remedy must not be thought of if
we would not wish it to injure the patient.

But it happens, moreover, that a number of the
smallest doses given for the same object in quick
succession accumulate in the organism into a kind
of excessively large dose, with (a few cases
excepted) similar bad results; in this case the
vital force, not being able to recover itself
betwixt every dose, though it be but small,
becomes oppressed and overwhelmed, and thus being
incapable of reacting in a salutary manner, it is
necessitated passively to allow involuntary the
continuance of the over-strong medicinal disease
that has thus been forced upon it, just in the
same manner as we may every day observe from the
allopathic abuse of large cumulative doses of one
and the same medicine, to the lasting injury of the patient.

Now, therefore, in order, whilst avoiding the
erroneous method I have here pointed out, to
attain the desired object more certainly than
hitherto, and to administer the medicine selected
in such a manner that it must exercise all its
efficacy without injury to the patient, that it
may effect all the good it is capable of
performing in a given case of disease, I have
lately adopted a particular method.

I perceived that, in order to discover this true
middle path, we must be guided as well by the
nature of the different medicinal substances, as
also by the corporeal constitution of the patient
and the magnitude of the disease, so that - to
give an example from the use of sulphur in
chronic (psoric) diseases - the smallest dose of
it (tinct, sulph. X°) can seldom be repeated with
advantage, seen in the most robust patients and
in fully developed psora, oftener than every
seven days, a period of time which must be
proportionally lengthened when we have to treat
weaker and more excitable patients of this kind;
in such cases we would do well to give such a
dose only every nine, twelve, or fourteen days,
and continue to repeat the medicine until it
ceases to be of service. We thus find (to abide
by the instance of sulphur) that in sporic
diseases seldom fewer than four, often however,
six, eight and even ten doses (tinct. sulph. X°)
are required to be successively administered at
these intervals for the complete annihilation of
the whole portion of the chronic disease that is
eradicated by sulphur - provided always there had
been no previous allopathic abuse of sulphur in
the case. Thus even a (primary) scabious eruption
of recent origin, though it may have spread all
over the body, may be perfectly cured, in persons
who are not too weakly, by a dose of tinct sulph.
X° given every seven days, in the course of from
ten to twelve weeks (accordingly with ten or
twelve such globules), so that it will seldom be
necessary to aid the cure with a few doses of
carb. veg. X° (also given at the rate of one dose
per week) without the slightest external
treatment besides frequent changes of linen and good regimen.

When for other serious chronic diseases also we
may consider it requisite, as far as we can
calculate, to give eight, nine or ten doses of
tinct. sulph. (at X°) it is yet more expedient in
such cases, instead of giving them in
uninterrupted succession, to interpose after
every, or every second or third dose, a dose of
another medicine, which in this case is next in
point of homoeopathic suitableness to sulphur
(usually hep. sulph.) and to allow this likewise
to act for eight, nine, twelve or fourteen days
before again commencing a course of three doses of sulphur.

But it not infrequently happens that the vital
force refuses to permit several doses of sulphur,
even though they may be essential for the cure of
the chronic malady and are given at the intervals
mentioned above, to act quietly on itself; this
refusal it reveals by some, though moderate,
sulphur symptoms, which it allows to appear in
the patient during the treatment. In such cases
it is sometimes advisable to administer a small
dose of nux vom. X°, allowing it to act for eight
or ten days, in order to dispose the system again
to allow succeeding doses of the sulphur to act
quietly and effectually upon it. In those cases
for which it is adapted, puls. X° is preferable.

But the vital force shows the greatest resistance
to the salutary action upon itself of the
strongly indicated sulphur, and even exhibits
manifest aggravation of the chronic disease,
though the sulphur be given in the very smallest
dose, though only a globule of the size of a
mustard seed moistened with tinct. sulph X° be
smelt, if the sulphur have formerly (it may be
years since) been improperly given allopathically
in large doses. This is one lamentable
circumstance that renders the best medical
treatment of chronic disease almost impossible
among the many that the ordinary bungling
treatment of chronic diseases by the old school
would leave us nothing to do but to deplore, were
there not some mode of getting over the difficulty.

In such cases we have only to let the patient
smell a single time strongly at a globule the
size of a mustard seed moistened with mercur
metall. X, and allow this olfaction to act for
about nine days, in order to make the vital force
again disposed to permit the sulphur (at least
the olfaction of tinct. sulph. X°) to exercise a
beneficial influence on itself - a discovery for
which we are indepted to Dr. Griesselich, of Carlsruhe.
§ 246 Sixth Edition

Every perceptibly progressive and strikingly
increasing amelioration during treatment is a
condition which, as long as it lasts, completely
precludes every repetition of the administration
of any medicine whatsoever, because all the good
the medicine taken continues to effect is now
hastening towards its completion. This is not
infrequently the cause in acute diseases, but in
more chronic diseases, on the other hand, a
single dose of an appropriately selected
homoeopathic remedy will at times complete even
with but slowly progressive improvement and give
the help which such a remedy in such a case can
accomplish naturally within 40, 50, 60, 100 days.
This is, however, but rarely the case; and
besides, it must be a matter of great importance
to the physician as well as to the patient that
were it possible, this period should be
diminished to one-half, one-quarter, and even
still less, so that a much more rapid cure might
be obtained. And this may be very happily
affected, as recent and oft-repeated observations
have taught me under the following conditions:
firstly, if the medicine selected with the utmost
care was perfectly homoeopathic; secondly, if it
is highly potentized, dissolved in water and
given in proper small dose that experience has
taught as the most suitable in definite intervals
for the quickest accomplishment of the cure but
with the precaution, that the degree of every
dose deviate somewhat from the preceding and
following in order that the vital principle which
is to be altered to a similar medicinal disease
be not aroused to untoward reactions and revolt
as is always the case1 with unmodified and especially rapidly repeated doses.

1 What I said in the fifth edition of the
organon, in a long note to this paragraph in
order to prevent these undesirable reactions of
the vital energy, was all the experience I then
had justified. But during the last four or five
years, however, all these difficulties are wholly
solved by my new altered but perfected method.
The same carefully selected medicine may now be
given daily and for months, if necessary in this
way, namely, after the lower degree of potency
has been used for one or two weeks in the
treatment of chronic disease, advance is made in
the same way to higher degrees, (beginning
according to the new dynamization method, taught
herewith with the use of the lowest degrees).
§ 247 Fifth Edition

Under these conditions, the smallest doses of the
best selected homoeopathic medicine may be
repeated with the best, often with incredible
results, at intervals of fourteen, twelve, ten,
eight, seven days, and, where rapidity is
requisite, in chronic diseases resembling cases
of acute disease, at still shorter intervals, but
in acute diseases at very much shorter periods -
every twenty - four, twelve, eight, four hours,
in the very acutest every hour, up to as often as
every five minutes, - in ever case in proportion
to the more or less rapid course of the diseases
and of the action of the medicine employed, as is
more distinctly explained in the last note.
§ 247 Sixth Edition

It is impractical to repeat the same unchanged
dose of a remedy once, not to mention its
frequent repetition (and at short intervals in
order not to delay the cure). The vital principle
does not accept such unchanged doses without
resistance, that is, without other symptoms of
the medicine to manifest themselves than those
similar to the disease to be cured, because the
former dose has already accomplished the expected
change in the vital principle and a second
dynamically wholly similar, unchanged dose of the
same medicine no longer finds, therefore, the
same conditions of the vital force. The patient
may indeed be made sick in another way by
receiving other such unchanged doses, even sicker
than he was, for now only those symptoms of the
given remedy remain active which were not
homoeopathic to the original disease, hence no
step towards cure can follow, only a true
aggravation of the condition of the patient. But
if the succeeding dose is changed slightly every
time, namely potentized somewhat higher (§§
269-270) then the vital principle may be altered
without difficulty by the same medicine (the
sensation of natural disease diminishing) and thus the cure brought nearer.1

1 We ought not even with the best chosen
homoeopathic medicine, for instance one pellet of
the same potency that was beneficial at first, to
let the patient have a second or third dose,
taken dry. In the same way, if the medicine was
dissolved in water and the first dose proved
beneficial, a second or third and even smaller
dose from the bottle standing undisturbed, even
in intervals of a few days, would prove no longer
beneficial, even though the original preparation
had been potentized with ten succussions or as I
suggested later with but two succussions in order
to obviate this disadvantage and this according
to above reasons. But through modification of
every dose in its dynamiztion degree, as I
herewith teach, there exists no offence, even if
the doses be repeated more frequently, even if
the medicine be ever so highly potentized with
ever so many succussions. It almost seems as if
the best selected homoeopathic remedy could best
extract the morbid disorder from the vital force
and in chronic disease to extinguish the same
only if applied in several different forms.
§ 248 Fifth Edition

The dose of the same medicine may be repeated
several times according to circumstances, but
only so long as until either recovery ensues, or
the same remedy ceases to do good and the rest of
the disease, presenting a different group of
symptoms, demands a different homoeopathic remedy.
§ 248 Sixth Edition

For this purpose, we potentize anew the medicinal
solution1 (with perhaps 8, 10, 12 succussions)
from which we give the patient one or
(increasingly) several teaspoonful doses, in long
lasting diseases daily or every second day, in
acute diseases every two to six hours and in very
urgent cases every hour or oftener. Thus in
chronic diseases, every correctly chosen
homoeopathic medicine, even those whose action is
of long duration, may be repeated daily for
months with ever increasing success. If the
solution is used up (in seven to fifteen days) it
is necessary to add to the next solution of the
same medicine if still indicated one or (though
rarely) several pellets of a higher potency with
which we continue so long as the patient
experiences continued improvement without
encountering one or another complaint that he
never had before in his life. For if this
happens, if the balance of the disease appears in
a group of altered symptoms then another, one
more homoeopathically related medicine must be
chosen in place of the last and administered in
the same repeated doses, mindful, however, of
modifying the solution of every dose with
thorough vigorous succussions, thus changing its
degree of potency and increasing it somewhat. On
the other hand, should there appear during almost
daily repetition of the well indicated
homoeopathic remedy, towards the end of the
treatment of a chronic disease, so-called (§ 161)
homoeopathic aggravations by which the balance of
the morbid symptoms seem to again increase
somewhat (the medicinal disease, similar to the
original, now alone persistently manifests
itself). The doses in that case must then be
reduced still further and repeated in longer
intervals and possibly stopped several days, in
order to see if the convalescence need no further
medicinal aid. The apparent symptoms (Schein -
Symptom) caused by the excess of the homoeopathic
medicine will soon disappear and leave
undisturbed health in its wake. If only a small
vial say a dram of dilute alcohol is used in the
treatment, in which is contained and dissolved
through succussion one globule of the medicine
which is to be used by olfaction every two, three
or four days, this also must be thoroughly
succussed eight to ten times before each olfaction.

1 Made in 40, 30, 20, 15 or 8 tablespoons of
water with the addition of some alcohol or a
piece of charcoal in order to preserve it. If
charcoal is used, it is suspended by means of a
thread in the vial and is taken out when the vial
is succussed. The solution of the medicinal
globule (and it is rarely necessary to use more
than one globule) of a thoroughly potentized
medicine in a large quantity of water can be
obviated by making a solution in only 7-8
tablespoons of water and after thorough
succussion of the vial take from it one
tablespoon and put it in a glass of water
(containing about 7 to 8 spoonfuls), this stirred
thoroughly and then given a dose to the patient.
If he is unusually excited and sensitive, a
teaspoon of this solution may be put in a second
glass of water, thoroughly stirred and
teaspoonful doses or more be given. There are
patients of so great sensitiveness that a third
or fourth glass, similarly prepared, may be
necessary. Each such prepared glass must be made
fresh daily. the globule of the high potency is
best crushed in a few grains of sugar of milk
which the patient can put in the vial and be
dissolved in the requisite quantity of water.

***********
DOSING - I used this method for chronic cases
using either lover C potencies in water for those
more sensitive (6c, 12c or 30c or LM potencies, always starting with LM1)

Here is how I work with water potencies using a
technique taught by Luc de Schepper, based on
Hahnemann's teachings in 5th & 6th edition of Organon

Water potencies allow you to change the potency before each dose, slightly
Water potencies allow you to speed the cure by allow repetition
Water potencies allow you to ease the cure
(aggravations less or non-existent - if
aggravations occur usually pass quickly with
water potencies as oppposed to dry doses)

The below is for working with chronic cases
(minor acute and first aid dosing is very
different - here we use higher potencies for the most part)

Luc De Schepper
Book: Achieving and Maintaining the Simillimum
An excellent book explaining water
potencies for the practitioner working with
chronic cases (minor acutes, not part of chronic
picture and first aid require higher potencies in
most cases - ie 200C or 1M or more)

Potency and dose used are based on sensitivity of
patient. Usually start with C potencies (6C, 12C
for more sensitive; 30C for less sensitive) in
water as instructed in 5th edition of
Organon. If patient not sensitive, may start
with LM's, although many patients who are
sensitive have aggravations, even with LM's.

Instructions to patient..............
It will be important for you to take the dose as
I've indicated below and contact me within 2 days
of taking the remedy and let me know exactly what
went on with you - any changes of any kind...........
1. improving - that may be hard to tell as you don't have the arrythmias daily
2. no change
3. any symptoms improve at all
4. any symptoms get worse
5. any new symptoms
6. any old symptoms return.

Frequency of dose will depend on initial
reaction. Dilution of dose will depend on
sensitivity of patient and initial reaction.

When you receive the remedy, let me know so I
know the first day you take the remedy

Instructions for Taking Your Homeopathic Remedy:

If you have a dry pillule, put one pillule in a
____________ oz. (number of ounces depends on
sensitivity -if someone is very sensitive will
use an 8 oz bottle with water and vodka as
preservative; otherwise I use 6 oz bottle of water & vodka.)

Ideally the water should be distilled or filtered
or bottled pure spring water. Stir vigorously
with a spoon for first dose after pillule
dissolves. Use a glass or plastic cup and spoon
which you will only use for this remedy, not for
food or for other remedies. Label the cup (you
can keep the cup and spoon just for you to reuse
in some place safe - no one else should use)
1. The first dose doesn't need to be succussed
after the pillule dissolved - just stir to
mix. Subsequent doses need succussing. Succuss
the glass bottle (called RSB) each time before
taking a subsequent dose: that is, hit the
bottle against the palm of your hand or a
leather-bound book ____ times (# of times
determined by sensitivity and initial reaction
and experience using water potencies). Give it a
good hard whack from a distance of about 2 feet.
(like a judge with a gavel - hard downward stroke
- purposeful downward stroke for each one)

2. Take _________ from the bottle (amount
depends on sensitivity of patient - often will
start with 1 teaspoon but if very sensitive may
have to use less) and put it in a cup of 4 oz. of
water (Dosage Cup) (may even use 2 or 3 dilution
cups - depending on initial reaction). (Ideally
the water should be distilled or filtered or
bottled pure spring water but tap water is
acceptable if that is all you have). Stir
vigorously with a spoon for first dose after
pillule dissolves. Use a glass or plastic cup
and spoon which you will only use for this
remedy, not for food or for other
remedies. Label the cup (you can keep the cup
and spoon just for you to reuse in some place safe - no one else should use)

3. Take ________ from the Dosage Cup ONCE.
(amount again depends on patient - often will
start with 1 tsp from dosage cup - if patients
proves to be extremely sensitive may use more
than one dosage cup, diluting the remedy further
- ie take 1 teaspoon from dosage cup and put in a
2nd 4 oz dosage cup - can even go further than
that to 3 or 4 dosage cups or use drops instead of teaspoons)

4. Discard the rest of the water in the
cup. NEVER DRINK THE WHOLE CUP. Do not save it
overnight. You need to make a new cup the next
time you are instructed to take a dose, after
succussing the remedy bottle again. Otherwise
you will not be following the methodical and
systematic progression of potencies which are
part of this healing system, and you may
interfere with the progress of your cure. (can
save the actual cup though as above)

5. If this is a first time dose, call or email
me in ___2____ days, to me know how you reacted
to the remedy. I will call you or email you back
with instructions for further dosing.

Special Precautions:
· Keep it out of direct sunlight and away
from heat (eg. NOT in the glove compartment of your car on a hot day).
· Do not eat or drink anything for 20
minutes before or after taking your remedy. Also
avoid taking around the time you brush your teeth
· Coffee may alter the effects of the
remedy. Drinking coffee may antidote the
remedy. Tea is acceptable as are other
caffeine-containing foods like cola and chocolate.

After taking your first dose:
1. DON'T REPEAT THE REMEDY.
Wait and observe changes-mentally, emotionally, and physically.
1. improving
2. no change
3. any symptoms improve at all
4. any symptoms get worse
5. any new symptoms
6. any old symptoms return.

2. Call me or email me

3. Once we get you on a schedule for the remedy:
a. If you notice an aggravation at
any time, stop taking the remedy, and call me.
b. If you notice the return of an
old symptom, stop taking the remedy and call me.
c. If you develop a symptom you've
NEVER had before, stop taking the remedy and call me
d. If I am not available and you
don't know what to do, STOP taking the remedy.
e. If you notice a greater than 50%
improvement, stop taking the remedy - I will be
in touch more about this once we have you on a schedule

4. After you are on a schedule, email me once a
week with an update. I will continually evaluate your response to the remedy
At 01:53 AM 8/28/2008, you wrote:


McPhee Family
Posts: 254
Joined: Wed Mar 14, 2007 11:00 pm

Re: LM potency

Post by McPhee Family »

Sheri,
No matter how many times I've read this, I always pick up on something new after another read. I have a few questions I hope you could answer.
1. David Little writes: Hahnemann noted in aphorism 246 that acute diseases are often cured by a single dose.
I have yet to have an acute illness respond to a single dose (with the exception of a goose egg on the head or bee sting, etc.). In most cases of severe cold or flu, I end up instructing a string of remedies as the symptoms change. Usually the remedy ameliorates somewhat and they are sick for only 4-5 days or a week instead of 2 weeks or more. Am I just not getting the simillimum or is it unrealistic to expect a one dose cure of the flu or upper respiratory, etc.? Or, is this what is talked about in Aphorism 248, 5th (The dose of the same medicine may be repeated several times according to circumstances, but only so long as until either recovery ensues, or the same remedy ceases to do good and the rest of the disease, presenting a different group of symptoms, demands a different homoeopathic remedy.)?

2. Hahnemann wrote: (A248, 6th) For this purpose, we potentize anew the medicinal solution1 (with perhaps 8, 10, 12 succussions) from which we give the patient one or (increasingly) several teaspoonful doses, in long lasting diseases daily or every second day, in acute diseases every two to six hours and in very urgent cases every hour or oftener.
What does "increasingly" mean in this sentence? Does it mean he has increasingly over time started to give patients several teaspoonful doses or does it mean the one patient is given increasing size of doses (1 tsp, then 2 tsp, then 3 tsp over time)?
3. Dr. Luc wrote: Potency and dose used are based on sensitivity of patient. Usually start with C potencies (6C, 12C for more sensitive; 30C for less sensitive) in water as instructed in 5th edition of Organon.
Why go back to the 5th edition on this one and start at C potencies instead of starting with an LM? With adjustments for sensitivities (using dilution glasses and size of dose), I've had fine responses starting with an LM. Actually, I haven't seen much difference between the test dose of an LM v. the test dose of the C except we work through the LM quicker to the next potency. And I've seen some cases dither on the 30c but make immediate progress on the LM which if I hadn't tried the LM, I may have been swayed to change the remedy. Also, when I first started water dosing, I had more than a couple cases similarly aggravate (prove) on repeated 6cs with liquid dosing. Is there some benefit to starting with the C potency instead of the LM?
Thanks for any insight!
Truly,
Erica
P.S. Welcome Sinead... another LM doser here! :-)


Sheri Nakken
Posts: 3999
Joined: Wed Apr 01, 2020 10:00 pm

Re: LM potency

Post by Sheri Nakken »

At 04:46 PM 8/30/2008, you wrote:
That is probably most of our experience. And remember most of us are working with vaccine injured adults and children with lots of chronic disturbance too.

Certainly he was better at than us ;-)

I certainly get much better, faster results when using 200C and 1M for some acutes and first aid (depends on the person and the symptom picture).
Yes, that certainly applies.
I'm not sure. I would take it to mean you start with a lower dose and give a higher dose (not potency but dose) if need be. We always see new things in the Organon. I will have to think on it.
I have seen problems with LMs for some - some with sensitivities - my mother for example. And others with chronic illness and sensitivity.
I start there when I think the person is sensitive and can always work up. But harder to work down if aggravations at the beginning, even though often shortlived with water doses. I'd rather spare the patient - take a little longer but gentler.

And it isn't really going back to 5th edition...........

This info from David Little should help

Easier to refer to him than try to re-explain it - he always does a better job ;-) And I have to rely on his readings of the Paris Casebooks.

http://www.simillimum.com/education/lit ... rticle.php

"We have discussed some of the difference between the remedial powers of the C and LM potency that makes them complementary opposites. Once the homoeopaths understand the inner nature of the Cs and LMs they will understand how to use them at the correct times. The Paris casebooks show that Hahnemann often used his centesimal potencies for crisis and acute diseases and switched to the LM potencies for constitutional treatment and miasms. This is not an absolute rule but a tendency one sees throughout the cases of his last three years (1840-1843). "

and

"In those cases that were too sensitive to tolerate the LM 0/1, I began with low potency C's and then worked them up to the 30c and finally the LM 0/1. "

Read that whole article and see if that helps
Sheri
Sheri Nakken, former R.N., MA, Hahnemannian Homeopath
http://www.wellwithin1.com/homeo.htm & http://www.wellwihtin1.com/vaccine.htm
ONLINE/Email classes in Homeopathy; Vaccine Dangers; Childhood Diseases - next classes start in September


sineadhomeopath
Posts: 4
Joined: Wed Apr 08, 2020 3:49 pm

Re: LM potency

Post by sineadhomeopath »

Hi Sheri

Thank you for such a detailed reply! I will have a read and get back
to you on this.

Im doing a research paper on comparisons of LM administration around
the world. Its very interesting to see homeopaths claim to follow
the Organon and yet their administration varies dramatically from
5ml bottles to 240ml, succussions from 0 - 18, drops directly on
tongue or from the 5th cup etc etc.

Cheers

Sinead
says............
minds of some
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the remedy
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sineadhomeopath
Posts: 4
Joined: Wed Apr 08, 2020 3:49 pm

Re: LM potency

Post by sineadhomeopath »

Hi Erica

Thanks for the welcome:)

diseases are often cured by a single dose.
the exception of a goose egg on the head or bee sting, etc.). In
most cases of severe cold or flu, I end up instructing a string of
remedies as the symptoms change.

I find I am doing this also. There is a bad flu here in Australia at
the moment and I may need to give 2 remedies during a patients
illness. I tend to go higher in potency due to the intensity - 200,
1M. I can manage to reduce the time of duration once the flu is full
blown, but if I catch it early on (Acon, Bell etc) then it can be
eradicated.You need to keep an eye on symptoms - if they change you
may need to look for the next indicated remedy
potencies instead of starting with an LM?

with skin problems I follow the advice of some LM users and go to 6c
in solution, then up to 30c and then onto LM. I have not started
reactive skin conditions with LM to say what is better though

With adjustments for sensitivities (using dilution glasses and size
of dose), I've had fine responses starting with an LM.

Well yes that makes sense if you dilute to the 3rd or 4th cup for
example

And I've seen some cases dither on the 30c but make immediate
progress on the LM which if I hadn't tried the LM, I may have been
swayed to change the remedy.

Ive experieced the opposite also - no reponse to LM 1 yet immediate
change on 30c!

Its def interesting to compare

How do you use LM potency? Size of bottle, sucussions, dosage cup
size???

Cheers

Sinead


sineadhomeopath
Posts: 4
Joined: Wed Apr 08, 2020 3:49 pm

Re: LM potency

Post by sineadhomeopath »

Hi Sheri and Erica

This is currently what I give patients on a sheet to take away with
them. I demonstrace in the clinic room how to succuss (bang) the
bottle and emphasize the need to contact me as needed

I have on the sheet all the usual instructions for keeping medicine
away from strong light, smells etc

"These instructions are to be followed for each dose of the medicine
you are asked to take.

1) Bang bottle (as demonstrated) containing the medicine ____ times
2) Place ________ of the medicine in a small glass of water (size
demonstrated in clinic, water filtered or bottled). stir gently.
3) Take ______ of liquid from the glass, hold under the tongue for a
moment before swallowing. Discard the remainder of the liquid from
the glass. Keep this glass specifically for this particular
medicine.
3a) Take ______ of liquid from the glass, and place in a second
glass of water. Stir gently and then _____________. From the _____
glass take ______ of liquid. Discard the remainder of the liquid
from the glass. Keep this glass specifically for this particular
medicine.

Observe your reaction to the first dose of the medicine. Wait three
days after the first dose...

1) If there is no reaction, take a dose of the medicine daily.
Contact me after one week
2) If the symptoms start to improve rapidly, do not take further
doses and call me
3) If you notice an aggravation of your symptoms, stop the medicine
and call me
4) If you notice a return of old symptoms from your past, stop the
medicine and call me
5) If I'm not available and you dont know what to do, stop the
medicine until I contact you."

Thats what I am doing at the moment. Im also giving all my C and X
potencies in solution also.

the size of bottle, succussion, dosage cup varies depending on the
sensitivity. the first test dose I have no succussions or perhaps 2.
I am also experimenting with the Miniture solution as given in
Chronic Diseases

always

Yes I think it means instead of 1tsp give, 2, 3 or more (increase
the dose - as in the volume of the medicine given)
Cheers

Sinead


Fran Sheffield
Posts: 676
Joined: Sun Nov 28, 2004 11:00 pm

Re: LM potency

Post by Fran Sheffield »

sineadhomeopath wrote:
I used to advise people to place the remedy under the tongue but stopped on finding that mothers were becoming stressed about trying to get small children and babies to do this. As it is not necessary, I now just advise people to place the liquid in the mouth. :-)
Kind regards,

Fran Sheffield
Homeopathy Plus! (Information - Remedies - Treatment)
http://www.homeopathyplus.com.au
Homeopathy for Autism (Guidelines for Treatment)
http://www.homeopathy4autism.com
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http://www.d-n-h.org


Laura Coramai
Posts: 25
Joined: Wed Apr 01, 2020 10:00 pm

Re: LM potency

Post by Laura Coramai »

Hello all:
Brillant to have this lovely dialogue and all the wonderful links to
study at my leisure....using LM's (beginner at the fine art of
dosing..."LM" scale and "C" scale, for that matter) and loving them!
The questions I had are all addressed here in this great example of a
fine discussion.
Thanx so much & hopefully I'll have something to contribute to the
group one day that will help further the proper use of Hanhnemann's
last and greatest achievement in Homeopathy.
Later,
Laura

--- In minutus@yahoogroups.com, "sineadhomeopath"
wrote:
medicine
a
2.
dose


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